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NPI Code Detail

MEDICARE: MS. MELISSA RENEE FUMANO BCBA

MEDICARE: MS. MELISSA RENEE FUMANO BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-25-84064FL

General Provider Information

NPI Number : 1851941975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA RENEE FUMANO BCBA
Provider Business Mailing Address
First Line : 295 89TH ST STE 306
Second Line :
City : DALY CITY
State : CA
Zip : 94015-1656
Country : US
Telephone Number : 877-264-6747
Fax Number : 877-539-7730
Provider Business Practice Location Address
First Line : 100 S ASHLEY DR STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33602-5300
Country : US
Telephone Number : 877-997-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2019
Last Update Date : 02/03/2026

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